Organization
ATLANTA INTERNAL MEDICINE AND PSYCHIATRIC CARE
Active
Organization
ATLANTA INTERNAL MEDICINE AND PSYCHIATRIC CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY C LUNCEFORD M.D. (CEO)
(770) 396-0232
Entity
Organization
Contact information
Practice address
3915 CASCADE RD SW STE 360, ATLANTA, GA 30331-8533
(678) 973-2370
(470) 819-4995
Mailing address
3915 CASCADE RD SW STE 360, ATLANTA, GA 30331-8533
(770) 317-7300
(470) 819-4995
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003125640A
—
GA
05
—
REF000549852
—
GA
Enumeration date
05/02/2012
Last updated
08/31/2024
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